Revision Hip Arthroscopy
Hip arthroscopy is a minimally invasive procedure used to treat a variety of hip conditions. The indications for hip arthroscopy have been on the rise over the past several years. With the increase in the number of surgeries performed annually, there has been an increase in the number of unsuccessful procedures and the number of revision surgeries.
Recent studies have identified a variety of factors that lead to a poor outcome of a hip arthroscopy. Some of them are:
- Advanced osteoarthritis (destruction of cartilage in the joints)
- Severe osteonecrosis (death of bone resulting from reduced blood flow to the bones)
- Persistentfemoroacetabular impingement
- Insufficient correction or overcorrection leading to instability or fracture
- Failure to repair labral tears or labral lesions
- Adhesion/scar tissue formation
- Poor patient selection
The success of a revision hip arthroscopy lies on identifying the root cause of the failure of the initial surgery. Repeat X-rays and 3D CT scans could help assess abnormalities following surgery, though no study can replace the intraoperative assessment of an experienced hip arthroscopic surgeon.
A repeat hip arthroscopy procedure is indicated when persistent pain remains following a hip arthroscopy procedure. During a hip arthroscopy procedure, your leg is put into traction and your surgeon will create a small incision in your hip. An arthroscope is then inserted through this incision into your hip joint, which relays the inside of your hip joint. Once an abnormality is identified, your surgeon will insert the necessary instruments through separate incisions in order to rectify the abnormality. The length of the surgery will depend on the extent of the damage and the amount of work involved by the surgeon.
Arthroscopy is a relatively safe procedure and complications are fairly uncommon. Some of the potential risks include:
- The traction provided during the procedure can stretch nerves and can cause temporary numbness.
- There is a very low risk of any injury to the surrounding nerves or vessels.
- There is also a minor risk of wound infections as well as deep vein thrombosis (blood clots in the legs).
- After surgery you will stay in the recovery room for a few hours and will be discharged home.
- You will not be able to drive, and you may need to have someone drive you home.
- You will be on crutches or a walker for some period of time.
- Physical therapy will be involved in helping you restore your strength and mobility, and also to guide you with the do’s and dont’s during your recovery period.
A successful revision hip arthroscopy surgery after a failed hip arthroscopy can help alleviate your pain and improve your mobility.A rehabilitation program consisting of early range of motion exercises can help you attain a faster recovery.